Organization
HAPPY TOOTH PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER DALE HANKS DMD, MPH (SOLE OWNER)
(801) 946-2565
Entity
Organization
Contact information
Practice address
2453 E 3300 S, MILLCREEK, UT 84109-2725
(801) 946-2565
Mailing address
1850 ORANGEWOOD DR, MEDFORD, OR 97504-5725
(801) 946-2565
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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